Quality and safety of emergency patient handover between prehospital and hospital emergency care

Uvod: Proces predaje življenjsko ogroženega pacienta med ekipo nujne medicinske pomoči in urgentnim centrom je ključnega pomena za zagotavljanje kakovosti in varnosti zdravstvene oskrbe in mora vsebovati vse aktivnosti za usklajevanje med zdravstvenimi delavci ter kontinuirano oskrbo življenjsko ogroženega pacienta. Namen je bil raziskati proces predaje življenjsko ogroženega pacienta med ekipo nujne medicinske pomoči in urgentnim centrom. Metode: Uporabljena je bila kvantitativna metodologija, kot raziskovalni instrument je bil uporabljen anketni vprašalnik. Vzorec je bil namenski, sodelovalo je 63 zaposlenih v nujni medicinski pomoči iz treh Zdravstvenih domov ter 71 zaposlenih iz dveh Urgentnih centrov. Obdelava podatkov je bila izvedena na podlagi opisne statistike, Kruskal-Wallisovega testa in Mann-Whitney U testa. Rezultati: Podatki o izmerjenih vitalnih funkcijah predstavljajo najpomembnejše podatke v procesu predaje življenjsko ogroženega pacienta za zaposlene v nujni medicinski pomoči v 63,5 % in za zaposlene v urgentnih centrih v 67,7 %. 87,3 % zaposlenih v nujni medicinski pomoči in 87,2 % zaposlenih v urgentnih centrih ne pozna nobenega pripomočka za strukturirano predajo življenjsko ogroženega pacienta. Med zaposlenimi v nujni medicinski pomoči in zaposlenimi v urgentnih centrih ni bila ugotovljena statistično pomembna razlika (U = 2049,500p = 0,375) v oceni potrebe po uvedbi strukturirane predaje. Razprava in sklep: Kakovost procesa predaje življenjsko ogroženega pacienta med ekipo nujne medicinske pomoči in urgentnim centrom je začetni kazalnik kakovosti in varnosti obravnave pacienta, ki ima vpliv na vse nadaljnje obravnave. Za razvoj omenjenega procesa je ključnega pomena njegovo raziskovanje in uvedba standardizacije.Introduction: The process of hand-off of a life-threatened patient between the emergency medical team and the emergency center is crucial to ensure the quality and safety of health care and must include all the activities for coordination between healthcare professionals and continuous care of a life-threatened patient. The purpose was to investigate the process of hand-off of a life-threatened patient between the emergency medical team and the emergency center. Methods: Quantitative methodology was useda questionnaire was used as a research instrument. The sample was purpose-made63 employees in emergency medical care from three Health Centers and 71 employees from two Emergency Centers participated in this survey. Data processing was performed based on descriptive statistics - the Kruskal-Wallis test, and the Mann-Whitney U test. Results: Data on measured vital functions represent the most important data in the process of hand-off of a life-threatened patient for employees in emergency medical care in 63.5 % and for employees in emergency centers in 67.7 %. 87.3% of employees in emergency medical care and 87.2 % of employees in emergency centers are not familiar with any device for the structured hand-off of a life-threatened patient. No statistically significant difference (U = 2049,500p = 0.375) was found between emergency medical employees and emergency center employees in the assessment of the need to introduce a structured hand-off. Discussion and conclusion: The quality of the process of hand-off of a life-threatened patient between the emergency medical team and the emergency center is the initial indicator of the quality and safety of the patient\u27s treatment, which has an impact on all further treatments. Its research and the introduction of standardization are of key importance for the development of this process